Continuous gas flow trocar assembly

Abstract

A trocar assembly for providing a pressurized insufflation fluid into a patient cavity and for providing sealable access to the patient cavity by a surgical instrument. The assembly comprises an inner tubular member having a proximal end and a distal end. An outer tubular member is disposed about the inner tubular member, the outer tubular member having a proximal end and a distal end. The distal end of the inner tubular member and the distal end of the outer tubular member define a trocar seal nozzle arranged therebetween.

Description

BACKGROUND OF THE INVENTION[0001]1. Field of the Invention[0002]The present invention relates to medical devices and more particularly to access devices and particularly their seal arrangements and closure mechanisms applicable to such medical devices, and is based upon and incorporates herein Provisional Application Ser. No. 60 / 461,149 filed 8 Apr. 2003 by reference.[0003]2. Prior Art[0004]Laparoscopic surgery is now standard procedure in hospitals today. Abdominal operations are being performed with narrow elongated instruments inserted through small incisions into interior portions of the body. Such laparoscopic procedures are now considered the treatment of choice for operations such as the removal of the gall bladder, spleen, adrenal glands, uterus and ovaries. Such laparoscopic procedures are accomplished via access through a device typically known as a trocar which facilitates the introduction of laparoscopic instruments into the abdomen of the body. The introductions of thes...

AI Technical Summary

Benefits of technology

[0023]The invention also may comprise a method for providing a pressurized insufflation fluid into a patient cavity and for providing sealable access to the patient cavity during a procedure with a surgical instrument, comprising: placing an inner tubular member having a proximal end and a distal end into an outer tubular member, the outer tubular member having a proximal end and a distal end, the distal end of the inner tubular member and the distal end of the outer tubular member defining a trocar seal nozzle arranged therebetween; forming an arcuate opening between the distal ends of the inner tubular member and the outer tubular member to comprise the nozzle; introducing a pressurized fluid into the outer tubular member; and discharging the pressurized fluid out of the nozzle at the distal end of the tubular members to form a wall of pressurized fluid to seal the trocar assembly during any surgical procedure performed therewith. The method may include: introducing a surgical instrument into the inner tubular member; extending the surgical instrument through the wall of pressurized fluid and into the cavity of the patient for surgical use therewithin; controlling the pressure, temperature and / or content of the pressurized fluid introduced through the nozzle and into the patient by a fluid control and fluid sensor feedback arrangement in communication with the fluid introduced into the patient; placing a plurality of spacers between the inner tubular member and the outer tubular member to maintain alignment therebetween. The surgical instrument introduced into the patient through the inner tubular member of the trocar assembly may comprise a catheter. The surgical instrument introduced into the patient through the inner tubular member may comprise a pair of scissors. The method may include removing a tissue sample from the patient by retraction of the sample through the wall of pressurized fluid at the distal end of the trocar assembly; changing the nozzle configuration by adjustment of the inner tubular member with respect to the outer tubular member; rotating the inner tubular member with respect to the outer tubular member to effect the changing of the nozzle configuration. The surgical procedure may comprise tying a suture within the patient. The method may include attaching a flexible sleeve to the proximal end of the inner tubular member for enclosed receipt of a surgeon's forearm.

[0024]The invention may include a method of sealing a trocar assembly within a cavity of a patient during a surgical procedure by an instrument within that cavity of the patient, comprising: introducing a pressurized air through a plenum in the trocar assembly to form a wall of air within the cavity of the patient to seal the cavity from excessive loss of air pressure within the cavity of the patient; piercing the wall of air by the instrument during the surgical procedure; maintaining a generally constant pressure within the cavity of the patient by supplying a constant flow of pressurized air through the plenum in the trocar assembly and into the cavity of the patient; manipulating the medical instrument with respect to the trocar assembly in the absence of interference by the trocar assembly with the instrument.

[0025]The invention may also include a surgical method including the steps of piercing the wall of air by the instrument during the surgical procedure; maintaining a generally constant pressure within the cavity of the patient by supplying a constant flow of pressurized air through the plenum in the trocar assembly and into the cavity of the patient; manipulating the medical instrument with respect to the trocar assembly in the absence of interference by the trocar assembly with the instrument, wherein a spiral groove may be arranged on an inner surface of an inner tubular member of the assembly; arranging a duckbill type valve at a proximal location of the inner tubular member to minimize splashing of exiting gas and liquid thereat;

Problems solved by technology

However when the instrument is retracted, such a trap door or valve may interfere with the removal of the instrument or any tissue being transported thereby.

Certain problems arise with the types of seals utilized in these trocar devices.

Certain seals only work for a limited range of instrument diameters.

Typically the seals do not last through any procedures because they are subject to wear and tearing.

Those prior art seals also may often interfere with the removal of the instrument and / or any tissue being withdraw from the patient utilizing that particular instrument.

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